Tri-State Medical Group INC

NPI #1689653016 in Keokuk, Iowa

Provider Information

NPI Number: 1689653016
Entity Type: Organization
Organization Name: Tri-State Medical Group INC
Primary Specialty: General Practice
Enumeration Date: Jan 13, 2006
Last Updated: Jul 12, 2011

Practice Location

Address: 400 N 17TH ST
City: Keokuk
State: Iowa
ZIP Code: 52632-3452
Phone: (319) 524-5734

Authorized Official

Name: BRYN ASBURY
Title: OFFICE MANAGER
Phone: (319) 526-8789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry	2084P0804X
General Practice	208D00000X	Primary

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